Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 06985 | Date 12/06/2024 |
| Token No | SM/25-26/8163 18/09/2025 | Serial | 073 |
| Patient Name | Mr. ARCHAN DUTTA | Contact No | 9477134250 |
| Address | 43/8 PRAVASHNAGAR SERAMPORE 712249 | Age | 39 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 120/90 mmHg | Weight | 69 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||